Individual
KAROL TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
189 SUMMER ST, KINGSTON, MA 02364-1247
(781) 585-6581
Mailing address
282 FAYETTE ST APT 3, QUINCY, MA 02170-1646
(815) 575-5790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237065
MA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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